HomeMy Public PortalAbout5647 PAL MAL AVE_Plumbing__ •weBA F 4 APPLICATION FOR PLUMBING PERMIT
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BUILDI G AND SAFETY DIVISION
FOR APPLICANT TO FILL IN IPRINT OR TYPEI BUILDING 6 Pal Mal Avenue
NUMBER FIXTURE OR ITEM • FEE ADDRESS
WATER CLOSET LOCALITY Tem e CJAY
BATHTUB NEAREST
CROSS ST
SHOWER OWNER Mr. & Mrs. Tudor
LAVATORY MAIL
ADDRESS 5647 Pal Mal Avenue
SINK CITY Temple City TEL NO 446 3815
DISHWASHER CONTRACTOR AAA Conditioned Air Inc.
CLOTHES WASHER ADDRESS 10160 Valley Blvd.
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY El Monte TEL N0579 1800
TATE LIC
WATER HEATER LICENSE NO 293529 CLASS C20
GLA77S``SYSTEM OUTLET Z DISTR
ICT NO /J GROUP ZONE ESSED BY
5O TE ETS OVER `.J 57 0 o
INDUSTRIAL C7
WASTE APPROVAL
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE S 71
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TOTAL FEE v
Plan check applicant
Name APPROVALS DATE INSPECTOR 5 SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
Cty Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GASVENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGUUTING PLUMBING HOT WATER HEATER
1 HEREBY C IF HAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LO IF HAT
COUNTY AND STATE OF CALIFORNIA OR THAT AM THE GPS TEST
LEGAL OWNER 0VANDINTD TO RESIpE I _ E ABOVE DESCRIBED RESIDENTIAL PROPER" UTILITY CO NOTIFIEDSIGNATURE 1 FINAL
PLAN CHECK VALIDATIONcK w0 CASH PERMIT VALIDATIONS �- .�cK wo u5x
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